Organization
SANTA ROSA CLINIC
Active
Other names
CLINICA SANTA ROSA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR MANUEL SAINZ MD (CEO)
(619) 988-6512
Entity
Organization
Contact information
Practice address
4025 CAMINO DEL RIO S STE 300, SAN DIEGO, CA 92108-4108
(619) 988-6512
Mailing address
333 H ST STE 5000, CHULA VISTA, CA 91910-5561
(619) 988-6512
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
07/07/2023
Last updated
04/25/2024
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